ArticleJournal of diabetes investigation2026
Self-management in gestational diabetes mellitus in Bangladesh: Determinants from women and caregivers' perspectives employed a cross-sectional study.
Article in Journal of diabetes investigation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
backgroundAlthough clinical guideline of gestational diabetes mellitus (GDM) is well-defined, still influence of the household environment and caregiver support on patient's adherence to self-management remains under-explored.
objectiveThis study aimed to identify the patient, household, and caregiver-level determinants of GDM self-management in Dhaka, Bangladesh.
methodsThis cross-sectional study was conducted among 251 dyads of GDM patients including their caregivers across four tertiary hospitals in Dhaka. Diabetes self-management (DSM) was evaluated using the validated Diabetes Self-Management Questionnaire (DSMQ) (Cronbach's alpha = 0.74), supplemented by a pretested, semi-structured instrument assessing caregiver knowledge and support. Predictors of suboptimal DSM were identified using multivariable logistic regression with backward elimination in STATA. Model discrimination was validated using the area under the receiver operating characteristic curve (AUC-ROC).
resultsSuboptimal DSM was observed in 68.5% of participants. Domain-specific analysis revealed critical gaps in glycemic monitoring (82.5%), dietary control (75.7%), and physical activity (73.3%), while healthcare utilization (56.2%) showed higher adherence. Multivariable modeling demonstrated that household architecture was a dominant predictor; living in nuclear or extended families significantly increased the odds of suboptimal DSM compared to living alone. Further determinants included clinical complexity (comorbidities, family history) and reproductive history (parity ≥2). Notably, caregiver-level factors, specifically poor knowledge and inadequate support (prevalent in >50% of caregivers), were robustly associated with deficient glycemic monitoring and healthcare utilization (AUC = 0.78).
conclusionThe findings suggest that the household unit, rather than the individual patient, is the functional unit of GDM care. Transitioning toward family-centered therapeutic models is essential to improve maternal and neonatal outcomes in GDM cases.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.